{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T06:44:57Z","timestamp":1788417897243,"version":"build-2803163510"},"reference-count":60,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T00:00:00Z","timestamp":1711670400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Institute of Health","award":["[Grant Number: 3R15NR018547-01S1]"],"award-info":[{"award-number":["[Grant Number: 3R15NR018547-01S1]"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["West J Nurs Res"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Vascular dementia and heart failure (HF) are common co-existing conditions among adult populations. Each condition requires extensive home caregiving from family caregivers, especially those in rural Appalachia. This study aimed to assess caregivers\u2019 burden and their physical and mental health status, as well as explore their experiences and needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study used an exploratory mixed-methods design combining quantitative and qualitative research (N = 20 caregivers). We collected data using questionnaires, short-answered interviews, and focus group discussions. The multivariable generalized linear model (GLiM) was used to analyze quantitative data; content analysis was used for qualitative data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The average age of family caregivers was 64.95 years. The generalized linear model showed that the caregiving burden was associated with caregivers\u2019 depression\/anxiety ( r = 0.68, P &lt; .001) and their number of dementia caregiving years ( r = 0.54, P &lt; .05). Caregivers\u2019 poor physical health status was associated with better preparedness for HF and dementia home caregiving ( r = 0.52, P &lt; .05) and male caregivers ( r = \u22120.46, P &lt; .01). Caregivers\u2019 mental health status was associated with depression\/anxiety ( r = \u22120.80, P &lt; .001). The qualitative data identified key caregiving themes: emotional impact and physical demands of caregiving, lack of help in rural areas, dealing with multiple disease progression, and relationship changes with their loved ones.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Caregiving burden was associated with caregivers\u2019 home care responsibilities and the need for support. Nurse-led home caregiving preparedness interventions tailored for family caregivers of patients with HF and dementia in rural areas are recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01939459241242536","type":"journal-article","created":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T08:38:31Z","timestamp":1711701511000},"page":"344-355","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Family Caregiving of Patients With Heart Failure and Vascular Dementia in Rural Appalachia: A Mixed-Methods Study"],"prefix":"10.1177","volume":"46","author":[{"given":"Ubolrat","family":"Piamjariyakul","sequence":"first","affiliation":[{"name":"School of Nursing, West Virginia University, Morgantown, WV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7118-3877","authenticated-orcid":false,"given":"Kesheng","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, West Virginia University, Morgantown, WV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilyn","family":"Smith","sequence":"additional","affiliation":[{"name":"School of Nursing, West Virginia University, Morgantown, WV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Young","sequence":"additional","affiliation":[{"name":"School of Nursing, West Virginia University, Morgantown, WV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4231-5847","authenticated-orcid":false,"given":"Saima","family":"Shafique","sequence":"additional","affiliation":[{"name":"School of Nursing, West Virginia University, Morgantown, WV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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